INTRODUCTION

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The androgen-responsive prostate tumor cell line LNCaP has emerged as a useful model for characterizing the development of cells with a neuroendocrine (NE) phenotype from prostatic adenocarcinoma cells. LNCaP cells have now been shown to acquire NE characteristics in response to a number of culture conditions, including increased intracellular cyclic AMP (cAMP) levels (3, 14), long-term androgen deprivation (39), and stimulation with the cytokines interleukin-1 (IL-1) and IL-6 (17, 34).

Stimulation with activators of adenylate cyclase, such as forskolin (Fsk), and epinephrine (Epi) or isoproternol reversibly induces acquisition of NE characteristics by LNCaP cells (14). These characteristics include rounding of the cell body; appearance of long, branched neurite-like processes; development of secretory vesicles; inhibition of mitotic activity; increased expression of NE markers such as serotonin and neuron-specific enolase (NSE); and secretion of mitogenic neuropeptides such as neurotensin and parathyroid hormone-related peptide (PTHrP). Epi-induced NE differentiation of LNCaP cells involves increases in intracellular cAMP (14) and activation of cAMP-dependent protein kinase (PKA) (13). PKA-mediated signaling was found to be required and sufficient for NE differentiation in response to Epi, Fsk, and isoproternal but not IL-6 (13). Serum deprivation is capable of inducing some of these same NE characteristics (39) and results in increased steady-state cAMP levels (9). These findings suggest that tumor cell phenotypes may be dynamic and determined in part by the balance of differentiation and mitogenic factors in the local environment, and they indicate that PKA plays a central role in the acquisition of NE characteristics by LNCaP cells.

The pleiotropic cytokine IL-6 is a key mediator of host immune defense responses due to its wide range of effects on T-cell, B-cell, and macrophage responses (21, 27). In addition, IL-6 has been implicated in the pathology of numerous malignancies and autoimmune diseases (41). In prostate cancer, IL-6 and its receptor are candidate mediators of morbidity (47). Elevated levels of IL-6 receptor have been detected in prostatic hyperplasia and carcinoma tissues (40), while increased IL-6 levels are found in the circulation of patients with metastatic disease (1, 47) and correlate with hormone-refractory disease (18).

In LNCaP cells, IL-6 has been suggested to have both growth-promoting and -inhibiting activities. Several studies have indicated that IL-6 can mediate growth arrest (15, 43) and acquisition of NE characteristics, including development of a neuritic morphology and increased synthesis of NSE (34) and the granin family member chromogranin A (17), through activation of the eph-like tyrosine kinase Etk (34) and signal transducer and activator of transcription 3 (STAT3) (44). These results are contradicted by reports that IL-6-expressing LNCaP cells exhibit increased growth rates and clonogenesis correlated with increased STAT3 activation (29) and that IL-6 enhances androgen-induced growth by either autocrine or paracrine mechanisms (31).

In vivo, cytokine signaling occurs in the context of numerous other autocrine and paracrine stimuli, including adenylate cyclase activators. The metastatic sites in which progression of prostate cancer towards androgen independence occurs, such as lymph node and bone, represent such environments. We have therefore investigated the ability of IL-6 to affect NE differentiation in the context of PKA-mediated signaling in an effort to resolve the conflicting effects on LNCaP cells reported for IL-6. We undertook studies to determine whether the acquisition of NE characteristics by LNCaP cells could be enhanced following cotreatment with either the -adrenergic receptor agonist Epi or the adenylate cyclase agonist Fsk and the cytokine IL-6. We found that these two different classes of factors synergize with one another to enhance the development of NE characteristics by LNCaP cells.

	MATERIALS AND METHODS

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Cell culture and treatments. LNCaP cells were obtained from L. W. Chung (University of Virginia, Charlottesville) and maintained in T-medium (Gibco-BRL, Gaithersburg, Md.) containing 5% fetal bovine serum (FBS) (Gibco-BRL) at 37°C in a humidified, 5% CO₂ environment (45). Fsk, Epi, isobutylmethylxanthine (IBMX), and epidermal growth factor (EGF) were purchased from Sigma (St. Louis, Mo.). IL-6 was obtained from Calbiochem (La Jolla, Calif.). Cells were treated in the presence of normal growth medium containing serum by directly adding the differentiation agents to the culture medium at the indicated concentrations, except for the analysis of c-fos transcriptional activity in Fig. 7. The mitogen-activated protein kinase (MAPK) and extracellular signal-regulated kinase kinase (MEK) activation inhibitors PD098059 and U0126 were purchased from Biomol (Plymouth Meeting, Pa.) and Calbiochem, respectively.

Mitotic activity measurements. (i) [³H]thymidine labeling. Mitotic activity was assessed by [³H]thymidine incorporation as previously described (14). Briefly, 10⁵ LNCaP cells were plated in 35-mm-diameter culture dishes and treated with the appropriate agents as indicated. [³H]thymidine (20 Ci/mmol) (New England Nuclear, Boston, Mass.) was added at 10 µCi per well and left for 24 h prior to harvesting of the cells for mitotic activity analysis. Cells were counted with a hemocytometer and lysed in 10% cold trichloroacetic acid. The resulting precipitate was pelleted and solubilized in 0.2 ml of 0.4 N sodium hydroxide, and the acid-insoluble radioactivity was measured by liquid scintillation counting. The mitotic activity of each treatment population was calculated as the mean acid-insoluble ³H counts per minute per cell ± standard error of the mean (SEM) for three independent experiments, each performed in triplicate, normalized to the mitotic activity of the respective untreated cultures.

(ii) BrdU labeling. Bromodeoxyuridine (BrdU) (Sigma) labeling was performed by adding 100 µM BrdU to the culture medium of cells during the last 24 h of incubation. BrdU incorporation into DNA was assessed by immunofluorescence microscopy of paraformaldehyde-fixed cells using anti-BrdU-fluorescein isothiocyanate antibody (Boeringer-Mannheim, Indianapolis, Ind.) as previously described (13). The mitotic activity of each treatment population was calculated as the percent BrdU incorporation relative to that for untreated cells for three independent experiments ± SEM. The relatively long [³H]thymidine and BrdU labeling time represents ~75% of the doubling time of LNCaP cells cultured in T-medium. This length of time was used in order to accommodate the very low probability that LNCaP cells would undergoing DNA synthesis upon NE differentiation as previously reported (13, 14). We have not detected any measurable cytotoxicity attributable to these labeling treatments.

Morphological analysis. Live LNCaP cells were imaged by photomicroscopy using phase-contrast optics (Leica, Rijswijk, The Netherlands). The numbers of neuritic branch points and cells bodies were counted in photomicrographs of random fields of each respective treatment and expressed as branch points per 100 cells. The data presented are the mean derived from counting at least 200 cells per treatment from four independent experiments ± SEM.

Immunoblotting. After treatment, cells were washed with phosphate-buffered saline (50 mM Na phosphate, 150 mM NaCl, pH 7.4) and lysed in HO buffer (50 mM HEPES, 100 mM NaCl, 1% Nonidet P-40, 2 mM EDTA, 1 µg of leupeptin per ml, 2 µg of aprotinin per ml, 0.5 mM Na-vanadate, 40 mM p-nitrophenyl phosphate, 2 µM microcystin, pH 7.2) on ice. Lysates were clarified by centrifugation at 10,000 × g for 10 min at 4°C and processed for sodium dodecyl sulfate-polyacrylamide gel electrophoresis and electrophoretic transfer to nitrocellulose (Schleicher and Schuell, Keene, N.H.), as described previously (19). STAT3 activation was determined by immunoblotting with phospho-specific STAT3 antibodies directed against phosphotyrosine 705 (Calbiochem) and phosphoserine 727 (Upstate Biotechnology, Lake Placid, N.Y.). Total STAT3 was determined using a phosphorylation-independent STAT3 antibody (Santa Cruz Biotechnology, Santa Cruz, Calif.). Antibodies specific for STAT1, STAT5a, and STAT5b were generous gifts of C. Silva (University of Virginia). Phosphorylated MAPK was detected by blotting with anti-ACTIVE MAPK (Promega, Madison, Wis.). STAT tyrosine phosphorylation was detected with horseradish peroxidase (HRP)-conjugated antiphosphotyrosine antibody RC-20 (Transduction Laboratories). The anti-III tubulin monoclonal antibody TuJ1 was provided by A. Frankfurter (University of Virginia), and anti-NSE monoclonal antibody was purchased from DAKO Inc. (Carpinteria, Calif.). The latter two antibodies were visualized by enhanced chemiluminescence (Amersham Pharmacia, Buckinghamshire, England) using HRP-conjugated anti-mouse secondary antibody. All other primary antibodies were detected with HRP-conjugated anti-rabbit antibody or HRP-conjugated protein A (Amersham Life Sciences). All immunoblots shown are representative of at least three independent experiments.

Kinase assays. PKA activity was assessed by immune-complex kinase assay as previously described (13). Briefly, cells were pretreated with 50 µM PD098059 or an equal volume of dimethyl sulfoxide (DMSO) (as a vehicle control) for 10 min prior to agonist stimulation. After the indicated treatments, cell lysates were prepared as described above in HO buffer containing 100 µM IBMX to inhibit intrinsic cyclic nucleotide phosphodiesterase activity and subjected to immunoprecipitation using 500 µg of lysate protein and 1 µg of rabbit polyclonal anti-PKA CI catalytic subunit antibody (Santa Cruz Biotechnology). Immune complexes were collected on protein A-Sepharose (Sigma) and washed three times with HO lysis buffer and once with kinase buffer (50 mM HEPES [pH 7.4], 10 mM MgCl₂, 1 mM EGTA, 0.014% Tween 20). Immune complexes were incubated at 30°C for 10 min in 50 µl of kinase buffer containing 1 mM [-³²P]ATP (1 µCi/nmol) (New England Nuclear) and a 28 µM concentration of the synthetic PKA peptide substrate Kemptide (Sigma). Reactions were terminated by the addition of 10 µl of 1 M HCl, and 35 µl of the reaction mixture was spotted onto 1-cm² strips of phosphocellulose (P81; Whatman, Kent, United Kingdom). The P81 strips were washed four times for 10 min each in 75 mM H₃PO₄ and once in methanol, dried, and counted by Cherenkov radiation.

RNase protection assay. Cells (0.5 × 10⁶ to 1 × 10⁶) were serum starved overnight in serum-free, phenol red-free RPMI 1640 and stimulated for 1 h with either vehicle (DMSO), 10 µM Fsk, 10 µM Epi, 2 nM IL-6, or Epi and IL-6. Preparation of total cytoplasmic RNA was performed using an RNeasy purification kit (Qiagen, Valencia, Calif.). RNase protection assays were performed as previously described (20). c-fos probe was transcribed from NarI-digested pB1cfos (a generous gift of D. Engel, University of Virginia). The probe (10,000 to 15,000 cpm) and 10 µg of RNA were added to the hybridization mixtures.

CAT and luciferase assays. LNCaP cells (3 × 10⁵) were plated into 60-mm-diameter dishes, and 3 µg of either a chloramphenicol acetyltransferase (CAT) reporter plasmid for the c-fos promoter, 356/fos-CAT (a generous gift of D. Engel), or a luciferase reporter plasmid for the 4 nicotinic acetylcholine receptor (nAChR) promoter, pX1B4BH (6), was transfected using Lipofectin (Gibco-BRL) as described by the manufacturer. For CAT assays, cells were treated as indicated and lysates were assayed for luciferase activity as directed by PharMingen (San Diego, Calif.) and assayed in a Monolight 2010 luminometer (Analytical Luminescence Laboratory). Results were normalized to protein content and represent the mean ± SEM from three independent reporter plasmid transfection experiments.

EIAs. Conditioned culture medium from LNCaP cells was prepared by plating 2 × 10⁵ cells/well in 24-well culture dishes. Cells were allowed to adhere overnight and treated with the appropriate agents as indicated in 0.5 ml of culture medium. Medium from the cells was collected, cleared by centrifugation (14,000 × g, 10 min) and stored at 70°C prior to analysis. Detection of the neurosecretory peptides PTHrP and neurotensin was performed using enzyme-linked immunoassays (EIAs) for the respective peptides (Peninsula Laboratories, Inc., Belmont, Calif.) as recommended by the manufacturer. All treatments were assessed in four independent experiments, each performed in duplicate.

Data analysis. Results are depicted as the mean ± SEM from at least three independent experiments. Photomicrographs of representative fields and immunoblots are provided to demonstrate the primary data. Statistical significance of paired treatments was assessed by Student's t test.

	RESULTS

Top Abstract Introduction Materials and Methods Results Discussion References

Cotreatment of LNCaP cells with Epi and IL-6 enhances NE differentiation. The androgen-responsive prostate cancer cell line LNCaP can be induced to acquire characteristics of NE or amine precursor and decarboxylation cells associated with many prostatic adenocarcinomas. To determine if NE differentiation agonists could act cooperatively to enhance the acquisition of NE characteristics, cells were treated with maximally active concentrations of Epi and IL-6, acquired from dose-response curves of activation for PKA and STAT3 (data not shown), alone or in combination. Photomicrographs are presented in Fig. 1A to D to illustrate the morphological changes induced in response to the different treatments. After 2 days, treatment of LNCaP cells with 5 µM Epi resulted in a moderate level of morphological differentiation as evidenced by the appearance of neuritic extensions that often possessed growth cone-like structures. Fewer growth cone-like structures and longer neuritic processes were induced by 2 nM IL-6 than by Epi treatment. When treated with Epi and IL-6 together, however, cells appeared to differentiate more rapidly and to a greater degree than with either treatment alone.

View larger version (99K): [in this window] [in a new window]   FIG. 1.   Synergistic acquisition of an NE morphology by Epi and IL-6 cotreatment. (A to D) LNCaP cells seeded at ~30% confluence in T-medium plus 5% FBS were treated with DMSO alone (A) 5 µM Epi and 500 µM IBMX (B), 2 nM IL-6 (C), or both Epi and IL-6 (D). Cell morphology was photographed at a magnification of 20 × 2 days after treatment. (E) Neuritic branch points and cell bodies were counted as described in Materials and Methods and expressed as the mean number of branch points per 100 cells ± SEM for each treatment from four independent experiments. (F) Mitotic activity was measured during the last 24 h of the indicated treatments by incorporation of [3H]thymidine (3H Thy. Incorp.) and expressed as the mean counts per minute per cell ± SEM from three independent experiments. NT, DMSO alone.

View larger version (79K): [in this window] [in a new window]   FIG. 2.   Synergistic inhibition of mitotic activity by suboptimal doses of Epi and IL-6. (A) Representative phase-contrast and BrdU-staining photomicrographs of LNCaP cells cultured in T-medium plus 5% FBS and treated with Epi at concentrations ranging from 50 nM to 5 µM in both the absence (left micrographs) and presence (right micrographs) of 2 nM IL-6 for 2 days. Cells were incubated in 100 µM BrdU for the last 24 h, fixed, and stained with a fluorescein isothiocyanate-conjugated anti-BrdU antibody. (B) The mitotic activity was determined as the percent BrdU-positive cells ± SEM by counting 100 to 200 cells per treatment in random fields from three independent experiments.

IL-6 and Epi differentially regulate expression of NE markers. NE-like LNCaP cells were tested for expression of molecular markers found preferentially in cells of neuronal origin. By immunoblot analysis, expression of a neuronal isoform of tubulin, III tubulin (24-26), was essentially undetectable in LNCaP cells under normal culture conditions and was preferentially increased in response to IL-6 treatment compared to Epi treatment (Fig. 3A). On average, III tubulin expression was 10-fold higher in IL-6-treated cells than in Epi-treated cells. Conversely, while NSE expression was detectable at basal levels in unstimulated LNCaP cells, it was increased preferentially in response to Epi (7-fold) but only marginally in response to IL-6 (1.5-fold) (Fig. 3B). In cells treated with both Epi and IL-6, expression of neither marker was significantly affected relative to treatment with the predominant inducing agent alone. However, expression of III tubulin in Epi- and IL-6-treated cells was consistently lower than that in cells treated with IL-6 alone. Bovine adrenal chromaffin cells, a well characterized NE cell line, showed high expression of both neuronal markers, while murine fibroblasts did not express detectable levels of either molecule (data not shown). These results illustrate at a biochemical level the differential signaling responses activated in LNCaP cells by IL-6 and Epi.

View larger version (38K): [in this window] [in a new window]   FIG. 3.   Epi and IL-6 induce expression of distinct neuronal markers. Immunoblots (WB) were prepared from 50 µg of whole-cell lysate of LNCaP cells cultured for 3 days in T-medium plus 5% FBS (Unstim.) or stimulated with Epi and IBMX (Epi), IL-6, or Epi, IBMX, and IL-6 (Epi/IL-6) as for Fig. 1 with anti-III tubulin antiserum (A, upper panel), total tubulin (A, lower panel), anti-NSE antiserum (B, upper panel), or anti-MAPK antiserum (B, lower panel). Expression of each marker was quantitated by densitometric scanning of the autoradiograms and expressed as the mean fold change in III tubulin expression relative to total tubulin expression (C) and the fold change in NSE expression relative to MAPK expression (D), normalized to the ratio in unstimulated cells ± SEM from three independent experiments.

Cotreatment with Epi and IL-6 potentiates secretion of mitogenic neuropeptides. The role proposed for NE cells in prostate cancer progression is the ability to secrete factors that support the growth and survival of surrounding tumor cells under androgen-deprived conditions. We previously demonstrated that LNCaP cells induced to undergo NE differentiation by activation of adenlyate cyclase secrete PTHrP and neurotensin (14). These neuropeptides have been shown to increase mitogenesis of prostate tumor cells (23, 37). To determine whether IL-6 could also induce secretion of these factors and whether Epi and IL-6 cooperatively affect secretion of PTHrP and neurotensin, EIAs were performed on conditioned medium from LNCaP cells following treatment with Epi, IL-6, or Epi and IL-6 (Table 1). Relative to unstimulated cells, IL-6 induced a twofold increase in PTHrP accumulation in conditioned medium, compared to an almost threefold increase observed in response to Epi, while cells stimulated with both agents exhibited an eightfold increase in PTHrP accumulation. Neurotensin accumulation was not significantly induced by IL-6 treatment, but it was increased over sixfold by Epi treatment alone. However, as was the case for PTHrP secretion, when LNCaP cells were treated with Epi and IL-6, neurotensin levels were elevated to 25 times those in the conditioned medium from unstimulated cells. Since the neuropeptide level detected in the conditioned medium of untreated cells was equivalent to the threshold detection level of each respective EIA, the fold increases shown here may minimize the actual increases. These results demonstrate the ability of Epi and IL-6 to potentiate secretion of mitogenic factors for prostatic NE cells over the levels seen in response to treatment with either agent alone.

STAT3 is the predominant STAT family member activated in response to IL-6 treatment. Although IL-6 has been suggested to play a role in prostate cancer progression, its function has not been resolved. Furthermore, while Etk, phosphatidylinositol 3-kinase (PI3K), and the human EGF receptor family member HER2 have been implicated in downstream signaling from the IL-6 receptor (33, 34), the best-characterized effector pathway for IL-6 is activation of members of the STAT family of transcription factors. Using dominant-negative strategies, it has been suggested that STAT3 activation is required for IL-6-induced differentiation of LNCaP cells (44). Those authors did not, however, determine whether other STAT molecules are activated upon IL-6-induced NE differentiation and whether overexpression of dominant-negative STAT3 influenced the activation of other potentially activate STATs. To examine this question, a panel of antibodies was used to determine the STAT family expression profile in LNCaP cells and their respective levels of tyrosine phosphorylation, as a measure of STAT activation. By immunoblotting, we were able to readily detect STAT1, STAT3, STAT5a, and STAT5b proteins in LNCaP lysates (Fig. 4B). Of these STATs, tyrosine phosphorylation of only STAT3 was detected upon IL-6 treatment (Fig. 4A, lane 4). Treatment with Epi alone activated none of the STATs examined (see Fig. 6; and data not shown). Thus, in agreement with Spiotto and Chung (44), we found STAT3 to be the only STAT activated in response to IL-6 stimulation of LNCaP cells.

View larger version (87K): [in this window] [in a new window]   FIG. 4.   STAT3 is the predominant STAT activated by IL-6 in LNCaP cells. LNCaP cells were cultured in T-medium plus 5% FBS and either not treated or treated with 2 nM IL-6 for 20 min. Cytosolic lysates (500 µg) were immunoprecipitated (IP) with antibodies to STAT1 (lanes 1 and 2), STAT3 (lanes 3 and 4), STAT5a (lanes 5 and 6), and STAT5b (lanes 7 and 8) and subjected to immunoblot analysis (WB) with antiphosphotyrosine (anti PY) antibody (A) and antibodies against the cognate STAT proteins (B). The antiphosphotyrosine immunoblot is shown overexposed to demonstrate that phosphotyrosine could be detected only in STAT3 under these conditions. Numbers on the left are molecular masses in kilodaltons.

Synergistic activation of MAPK in LNCaP cells stimulated with Fsk and IL-6. Having shown that IL-6 and adenylate cyclase activators can signal through separate pathways, we next addressed potential signaling mechanisms that might account for the observed biological synergism between Epi and IL-6. We reasoned that synergism of signaling was likely to result from convergence of common signaling pathways, as well as signaling pathways distinct for each agonist.

View larger version (51K): [in this window] [in a new window]   FIG. 5.   Potentiation of MAPK activation in response to Fsk and IL-6 cotreatment. LNCaP cells were cultured in T-medium plus 5% FBS and left unstimulated (Unstim.) (lane 1) or treated with 100 ng of EGF per ml (lane 2), 10 µM Fsk (lanes 3 to 5), 2 nM IL-6 (lanes 6 to 8), or both Fsk and IL-6 (lanes 9 to 11) for the indicated times. Cytosolic lysates (50 µg) were subjected to immunoblot analysis (WB) with activated MAPK antibody (upper panel) and with total ERK2 antibody (lower panel) in parallel gels. Numbers on the left are molecular masses in kilodaltons.

PKA and IL-6 signaling pathways are not hyperactivated by cotreatment with Epi and IL-6. Since we previously demonstrated that activation of PKA is both necessary and sufficient for stimulation of certain NE characteristics by adenylate cyclase activators (13), we assessed whether PKA activation could be affected by cotreatment of LNCaP cells with IL-6 and Epi (Fig. 6A). While PKA activation was significantly enhanced in response to Epi stimulation (P < 0.05), PKA was not activated by stimulation with IL-6 alone. PKA activation in response to the combined treatment of LNCaP cells with IL-6 and Epi was not distinguishable from that of cells stimulated with Epi alone. IBMX alone had no effect on basal PKA activity, MAPK or STAT3 phosphorylation, or NE marker expression and did not significantly alter these responses in cells treated with Epi or IL-6 alone or in combination (data not shown). These results indicate that IL-6 does not enhance Epi-induced NE differentiation by enhancing activation of PKA during the acute phase of agonist treatment.

View larger version (41K): [in this window] [in a new window]   FIG. 6.   Effect of Epi and IL-6 treatment and MEK inhibition on PKA and STAT3 activation. LNCaP cells were cultured in T-medium plus 5% FBS in the absence (white bars; lanes 1 to 4) or presence (shaded bars; lanes 5 to 8) of 50 µM PD098059 for 10 min and left untreated (U) (lanes 1 and 5) or stimulated with 10 µM Epi (E) (lanes 2 and 6), 2 nM IL-6 (I) (lanes 3 and 7), or both Epi and IL-6 (E/I) (lanes 4 and 8) for 20 min. (A) PKA catalytic subunit (CI) immunoprecipitates were split and subjected to immune-complex kinase assay and immunoblotting of the PKA catalytic subunit. PKA activity was normalized to levels of catalytic subunit protein in the immunoprecipitates and to basal activity in unstimulated, non-PD098059-treated cells. Error bars indicate SEMs. (B) Cytosolic lysates (50 µg) were subjected to immunoblot analysis (WB) for phosphorylation of STAT3 Y705 (panel 1), phosphorylation of STAT3 S727 (panel 2), and activated MAPK (panel 4), as well as for total (Tot.) STAT3 (panel 3) and total ERK2 (panel 5).

MEK inhibitors do not affect PKA or STAT3 signaling events. In order to determine whether inhibition of MAPK activation affected either of the distinct signaling pathways activated by Epi or IL-6, we assessed PKA and STAT3 activation in the presence of the MEK inhibitor PD098059. Pretreating LNCaP cells with PD098059 blocked MAPK activation under all conditions tested (Fig. 6B, panels 4 and 5). Pretreatment of LNCaP cells with PD098059 did not decrease the ability of Epi to activate PKA but rather caused a modest, reproducible, but statistically insignificant (P < 0.05) increase in both basal and stimulated PKA activities (Fig. 6A). PD098059 pretreatment also had no effect on IL-6-mediated STAT3 Y705 phosphorylation induced by IL-6 when used alone or in combination with Epi (Fig. 6B, panel 1). The level of S727 phosphorylation from lysates of PD098059-treated cells under all differentiation conditions was ~30% lower than that from the corresponding lysates from cells treated with vehicle (Fig. 6B, panel 2). Nevertheless, the fold increase in phosphorylation of S727 upon IL-6 or Epi and IL-6 treatment remained relatively constant (~4.3- and ~3.7-fold in the absence and presence of PD098059, respectively) and was not significantly different (P < 0.05). This result suggests that MAPK may regulate basal STAT3 S727 phosphorylation in LNCaP cells but does not account for the inducible phosphorylation of S727 and the fact that MAPK is not the kinase primarily responsible for phosphorylation of STAT3 S727 in response to IL-6 treatment in LNCaP cells, consistent with recent findings that kinases such as mTOR (mammalian target of rapamycin) may be the major mediator of cytokine-induced S727 phosphorylation of STAT3 (51).

Potentiation of c-fos expression in Epi- and IL-6-treated LNCaP cells is MAPK dependent. These observations indicate that MEK inhibitors can be used to assess the contribution of this pathway to downstream events that culminate in NE differentiation. Since Epi and IL-6 treatment of LNCaP cells results in activation of well-described transcription factor activation pathways, we tested whether de novo gene expression was required for NE differentiation in response to treatment with these agents. We found that the general transcription inhibitor actinomycin D was capable of inhibiting morphological changes that LNCaP cells undergo in response to Epi, IL-6, or cotreatment with these agents over a 16-h time course (data not shown), suggesting that transcriptional events play a key role in NE differentiation.

View larger version (23K): [in this window] [in a new window]   FIG. 7.   Potentiation of c-fos transcription in LNCaP cells by IL-6 and Epi cotreatment is eliminated by inhibition of the MEK-MAPK pathway. LNCaP cells were cultured overnight in serum-free, phenol red-free RPMI 1640 and stimulated for 1 h with vehicle (DMSO) (Unstim.), 10 µM Fsk, 10 µM Epi, 2 nM IL-6, or Epi and IL-6 (Epi/IL-6). (A) RNase protection analysis using a riboprobe spanning the first two exons of human c-fos was performed for the treatments in the presence and absence of the MEK inhibitor PD098059, quantitated with a phosphorimager, and expressed relative to unstimulated cells. (mean ± SEM; n = 3). (B) c-fos promoter-driven CAT expression was assessed in LNCaP cells transfected with pFosCAT and treated as for panel A (mean ± SEM; n = 3).

Synergistic activation of 4 nAChR promoter in LNCaP cells cotreated with Epi and IL-6 requires MAPK. The 4 subunit of nAChR is found predominantly in neuronal cells of the central and peripheral nervous systems (5). The promoter element for this gene is not as well characterized as the c-fos promoter but has been shown to require transcriptional enhancer and activation factors expressed in neuronal cells (6). In preliminary experiments, a transcriptional reporter construct containing the 4 nAChR promoter upstream of a luciferase gene was used to test the ability of cells to support neuronal cell-specific transcriptional events. LNCaP cells transfected with the 4 nAChR promoter-driven luciferase construct showed little transcriptional activity from this promoter element when untreated or when treated with Epi or IL-6, but when they were cotreated with Epi and IL-6, LNCaP cells exhibited transcriptional activity proportional to that observed in PC12 cells stimulated with nerve growth factor (data not shown). This reporter construct was not responsive in similarly treated C3H10t1/2 murine fibroblasts.

View larger version (17K): [in this window] [in a new window]   FIG. 8.   4 nAChR subunit promoter activity in LNCaP NE cells. Cells were transfected with 4 nAChR luciferase reporter construct, cultured for 2 days in T-medium plus 5% FBS, and stimulated for 12 h with vehicle (DMSO) (Unstim.), 10 µM Epi, 2 nM IL-6, or Epi and IL-6 (Epi/IL-6) in the presence or absence of 50 µM UO126. Luminometer data were expressed as light units relative to unstimulated cells (mean relative change ± SEM; n = 4).

	DISCUSSION

Top Abstract Introduction Materials and Methods Results Discussion References

Prostate tumors have a propensity for establishing metastatic lesions in lymph nodes and bone. The idea that factors present at these sites provide prostate tumor cells growth and/or survival advantages not normally available in the prostate gland prompted studies to identify these metastatic and growth-enhancing factors and investigate their mechanism of action. Neoplasia-derived NE cells are not detected in benign prostatic hyperplasia, prostatic intraepithelial neoplasia, or primary tumor foci within the prostate gland (8) but are found in increasing numbers in prostate tumors that exhibit features of progression to androgen independence (7, 46). Current therapies for prostate cancer are effective at treating early-stage encapsulated disease, but no successful therapies exist for recurrent, androgen-independent, excapsulated prostate tumors. It is in these later stages of progression that NE cells are speculated to play a crucial role and would therefore be a novel therapeutic target. That leads to the question of how NE cells arise and in what way they provide a growth advantage to the tumor in suboptimal survival conditions.

In this study, we assessed the ability of two factors that are found in bone marrow and lymph nodes and that have individually been shown to influence the NE status of the prostate tumor model, LNCaP, to act cooperatively to enhance the extent of NE differentiation. It is presumed that Epi reaches both the bone marrow and lymph system via the vasculature, while other ₂-adrenergic receptor and adenylate cyclase agonists are known to be present in these tissues. We have demonstrated that Epi stimulation is sufficient to induce NE differentiation of LNCaP cells (14). When prostate tumor cells reach the bone and lymph, high levels of interleukins could additionally influence their phenotype, including the degree of NE differentiation of prostate tumor cells.

While IL-6 has been reported to induce NE differentiation of LNCaP cells, a direct comparison with NE characteristics induced by -adrenergic receptor agonists or PKA has not been described. We have found that IL-6-induced NE differentiation was distinguishable from Epi-induced NE differentiation. At maximally active concentrations, Epi preferentially induced mitotic arrest, acquisition of a neuritic morphology, secretion of neurotensin and PTHrP, and expression of NSE, while IL-6 preferentially promoted extension of unbranched neurites, more modest growth arrest, and III tubulin expression. While we conclude that IL-6 does promote acquisition of certain NE characteristics by LNCaP cells, more importantly, we conclude that together with ₂-adrenergic receptor or adenylate cyclase agonists, IL-6 induces a higher degree of NE differentiation than either agent alone as measured by the degree of inhibition of mitotic activity, development of branched neuritic processes, and potentiated accumulation of neurotensin and PTHrP in the conditioned medium of cells stimulated with both Epi and IL-6.

PTHrP was shown to be present in human prostate tumor tissue sections, with 100% of poorly differentiated, metastatic tumors staining positively (2). The prostate cancer cell lines LNCaP, DU145, and PC3 all secrete PTHrP into conditioned medium (23). Furthermore, PTHrP peptide (amino acids 1 to 34) can increase DNA synthesis in the androgen-independent cell lines PC3 and DU145 and can also increase DNA synthesis in LNCaP cells in the presence of androgen (23). Neurotensin receptors are present on PC3 cells, and these cells respond to neurotensin by increasing thymidine incorporation (37). LNCaP cells also express the neurotensin receptor and are capable of undergoing growth stimulation by neurotensin in the absence of androgen (38). Taken together, these data indicate that NE cells are secreting known mitogenic factors for prostate cancer cells.

We have observed that NE differentiation requires transcription as demonstrated by the observation that actinomycin D inhibits the rapid morphological changes seen in LNCaP cells 12 to 16 h after the addition of differentiation agents (data not shown). Because maximal expression of NE characteristics occurs in LNCaP cells over a 2- to 5-day period, it is reasonable to propose that many cellular processes are modified to achieve the gross cellular changes seen. We suggest that the transcriptional profile of these epithelial cells must be sufficiently altered to change levels not only of proteins required for secretion of mitogenic peptides but also of cytoskeletal and cell cycle proteins required for morphological transformation and mitotic arrest. Examples of such genes are those encoding subunits of nAChR, a receptor on adrenal chromaffin cells that regulates secretion of catecholamines (30). In this report, we show that inhibitors of MAPK activation reduced the immediate-early gene response and decreased transcription from the promoter of the neuronal cell-specific gene, the 4 nAChR subunit. Neither Epi nor IL-6 alone induced significant transcription from the 4 nAChR promoter, indicating that only cells responding to the synergistic action of Epi and IL-6 express a gene whose product is associated with neuronal secretory activity.

Elongation and branching are fundamental properties of neurite morphogenesis and have been used as measures of the ability of immunophilin agonists (11), bone morphogenic proteins (35), and serotonin (28) to promote neuronal differentiation. These morphological changes are well correlated with increased neurotransmitter release and expression of neuronal markers, such as NSE. The ability of Epi and IL-6 to promote similar morphological and molecular properties in LNCaP cells suggests that common intracellular signaling events may be utilized in the normal establishment of neuronal circuits and in NE differentiation of prostatic adenocarcinomas.

Our data, together with published accounts, indicate that stimulation by Epi and IL-6 activates distinct signaling mechanisms which in some instances can overlap by convergent signaling to induce more NE markers than does either treatment alone. The presence of additional environmental factors, such as androgen deprivation, which also induces NE differentiation in LNCaP cells (39), may induce a more pronounced NE phenotype that provides even greater support for aggressive tumor cell growth in the bone marrow and lymph nodes. Therapeutic strategies can be developed to inhibit NE differentiation only if the underlying molecular mechanisms required for these events are established.

Our results indicate that the high degree of NE differentiation seen in response to cotreatment with Epi and IL-6 is dependent on cross talk from intracellular signaling pathways directly downstream of the agonists. While adenylate cyclase activators induced PKA activation, such treatments did not induce STAT activation in LNCaP cells. In comparison, IL-6 readily induced STAT activation but had no effect on PKA activity in these cells. While these treatments have been shown to activate MAPK individually, in this report, we demonstrate that cotreating LNCaP cells with adenylate cyclase activators and IL-6 increased the rate and potentiated the magnitude of MAPK activation without altering the level of PKA or STAT3 activation observed in response to either agent alone. The cooperative effect at the level of MAPK activation correlates with the increase in morphological changes and inhibition of mitotic activity seen in response to cotreatment with Epi and IL-6, suggesting that synergistic activation of MAPK may be a component of the enhanced differentiation exhibited by LNCaP cells. Unfortunately, we have been unable to test this hypothesis directly due to the toxic effects of the MEK inhibitors over the time course required to measure morphological changes or neuropeptide secretion.

There are a number of ways that Epi and IL-6 might cross talk with the MAPK pathway. Stimulation of LNCaP cells with Epi results in increased cAMP levels (14), activation of PKA (13), and activation of MAPK, presumably through phosphorylation of the small G-protein Rap1 (10). Such an event has been demonstrated to facilitate the interaction of Rap1 with B-Raf (22, 48, 50). Additionally, increased intracellular cAMP levels have been reported to stimulate the cAMP-activated guanine nucleotide exchange factor for Rap1, Epac (16), which can modulate signaling to the MAPK pathway independently of PKA activation (48). While recruitment of adapter proteins such as Grb2 and Shc could activate Ras indirectly via the IL-6 receptor, in LNCaP cells IL-6 has been reported to activate MAPK through association of HER2 with the IL-6 receptor (33). Thus, the results accumulated to date suggest that the MAPK pathway may be an appropriate target for development of novel adjuvant therapies against prostate cancer progression.